Obregon Medical Clinic | |
23 N Lincolnway North Aurora IL 60542-1635 | |
(630) 966-2637 | |
(630) 966-1611 |
Full Name | Obregon Medical Clinic |
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Speciality | Clinic/Center |
Location | 23 N Lincolnway, North Aurora, Illinois |
Authorized Official Name and Position | Felix Obregon (PHYSICIAN) |
Authorized Official Contact | 6309662637 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Obregon Medical Clinic 23 N Lincolnway North Aurora IL 60542-1635 Ph: (630) 966-2637 | Obregon Medical Clinic 23 N Lincolnway North Aurora IL 60542-1635 Ph: (630) 966-2637 |
NPI Number | 1013371558 |
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Provider Enumeration Date | 04/11/2016 |
Last Update Date | 01/04/2022 |
Medicare PECOS PAC ID | 4284994567 |
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Medicare Enrollment ID | O20180206000388 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013371558 | NPI | - | NPPES |
36069552 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036069552 (Illinois) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Felix G Obregon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831271709 PECOS PAC ID: 9739179755 Enrollment ID: I20040513000187 |
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